Anthem Life Insurance v. Izaguirre (In Re Izaguirre)

166 B.R. 484, 1994 Bankr. LEXIS 548, 1994 WL 149690
CourtUnited States Bankruptcy Court, N.D. Georgia
DecidedMarch 22, 1994
Docket16-64241
StatusPublished
Cited by22 cases

This text of 166 B.R. 484 (Anthem Life Insurance v. Izaguirre (In Re Izaguirre)) is published on Counsel Stack Legal Research, covering United States Bankruptcy Court, N.D. Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Anthem Life Insurance v. Izaguirre (In Re Izaguirre), 166 B.R. 484, 1994 Bankr. LEXIS 548, 1994 WL 149690 (Ga. 1994).

Opinion

ORDER DENYING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT ON DISCHARGEABILITY BUT DETERMINING THAT A DISCHARGE WOULD NOT BAR RECOUPMENT

JAMES E. MASSEY, Bankruptcy Judge.

Amado J. Izaguirre (the “Debtor”) is a beneficiary under a long-term disability policy issued by a predecessor to the plaintiff, Anthem Life Insurance Co. (“Anthem”). The policy provides that benefits otherwise payable to an employee are to be reduced by the amounts an employee is eligible to receive under the United States Social Security Act. Anthem contends that the Debtor misrepresented his right to receive Social Security benefits and that as a result of that misrepresentation, Anthem overpaid the benefits to which the Debtor was entitled. An *487 them moves for summary judgment against the Debtor for $38,788.18 and for a determination that the debt is excepted from discharge pursuant to 11 U.S.C. § 523(a)(2)(B). Anthem also seeks a determination that the alleged debt to Anthem is nondischargeable by virtue of a right of recoupment.

Based upon the evidence presented with the Motion for Summary Judgment, and the record in this adversary proceeding, the court makes the following findings of fact and conclusions of law.

FINDINGS OF FACT

In 1981, the Debtor became entitled to long-term disability benefits under a Group Long Term Disability Employee Insurance Policy (the “Policy”) issued by Coastal States Life Insurance Company, a predecessor to Anthem, to the Debtor’s employer, Metropolitan Atlanta Rapid Transit Authority. The Policy, as amended, provides in relevant part in the policy amendment as follows:

“B. ...
Social Security Integration: the monthly benefit will be reduced by the amount of disability or retirement benefits under the United States Social Security Act ... as follows:
1) disability benefits which the insured employee is eligible for, and benefits which the insured employees’s spouse, child or children are eligible for as a result of the insured employee’s eligibility for such disability benefits.
With respect to items B.l ... only, if the insured employee and/or the insured employees’s spouse, child or children do not apply for benefits under the above acts or plans, the monthly benefit will be reduced by any amount which he, she or they would be eligible for if application were made. However, this reduction will not apply if proof is submitted to the Insurance Company that the application for benefits, after final determination, has been disallowed.

After the Debtor began receiving disability benefit payments from Anthem, he signed documents, entitled “Insured’s Supplementary Statement” (the “Statements”) declaring that at the time of signing of each Statement, he was not eligible for, had not applied for or was not then receiving Social Security benefits. The Debtor executed the Statements on October 20, 1985, June 16, 1986, December 22, 1986, and on another occasion without dating that Statement.

Anthem alleged in its complaint that at the time of signing the Statements, the Debtor was “receiving” Social Security benefits and that as a result of payments of benefits to the Debtor in excess of the amount to which he was entitled under the policy, the Debtor is indebted to Anthem in the amount of $38,-788.18. In his answer, the Debtor denied those allegations. Thereafter, Anthem amended its complaint to allege that at the time of signing the Statements the Debtor was eligible for and had applied for Social Security benefits. Anthem amended its complaint a second time to add an additional count for recoupment, alleging that Anthem had the right to recoup overpayments against future continuing benefits payable to the Debtor. The Debtor failed to answer or otherwise respond to the first and second amended complaints.

On June 7, 1993, Anthem served the Debt- or with a copy of “Anthem Life Insurance Company’s First Continuing Interrogatories, Requests for Admission, and Request for Production of Documents to Debtor” (the “Discovery Requests”) and filed a Certificate of Service with the court. The Requests for Admission asked the Debtor to admit that (1) the Policy governs the Debtor’s right to receive disability benefits from Anthem, (2) the Debtor executed the Statements, (3) at the time Debtor executed the Statements he had applied for Social Security benefits, (4) at the time Debtor executed the Statements he was eligible for Social Security benefits, and (5) at the time Debtor executed the Statements he was receiving Social Security benefits. The Debtor failed to respond to the discovery, including the Requests for Admission.

Anthem supported its Motion for Summary Judgment with an affidavit of an employee, Bonnie Green, who stated that “[b]e-fore it learned that Debtor had applied for, *488 was eligible to receive, and/or was receiving social security benefits, Anthem had continued to pay his monthly long term disability payment in its entirety, and as a result it had overpaid Debtor in the amount of $42,798.26” and that Anthem had begun to recoup over-payments from monthly disability benefits such that “[b]y the time Anthem learned of the present bankruptcy filing, Debtor was still indebted to Anthem in the amount of $88,788.18 as a result of overpayment of benefits.” The affidavit of Ms. Green states that she is employed by Anthem and has personal knowledge of the facts stated in the affidavit. The averments of Ms. Green are tentative as to receipt of funds by the Debtor from Social Security.

CONCLUSIONS OF LAW

Pursuant to Fed.R.Civ.P. 56(c), which is incorporated in Fed.R.Bankr.P. 7056, a party moving for summary judgment is entitled to prevail if “the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law.” Celotex Corp. v. Catrett, 477 U.S. 317, 322, 106 S.Ct. 2548, 2552, 91 L.Ed.2d 265 (1986). The initial burden of proof is on the moving party to establish that no genuine factual issue exists. Celotex, 477 U.S. at 323, 106 S.Ct. at 2552; Clark v. Coats & Clark, Inc., 929 F.2d 604 (11th Cir.1991). The movant must point to the pleadings, discovery responses or supporting affidavits which tend to show the absence of a genuine issue of material fact. Celotex, 477 U.S. at 323, 106 S.Ct. at 2552. This evidence is to be construed in the light most favorable to the non-moving party. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 249, 106 S.Ct. 2505, 2510, 91 L.Ed.2d 202 (1986); Rollins v. TechSouth, Inc., 833 F.2d 1525 (11th Cir.1987).

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Bluebook (online)
166 B.R. 484, 1994 Bankr. LEXIS 548, 1994 WL 149690, Counsel Stack Legal Research, https://law.counselstack.com/opinion/anthem-life-insurance-v-izaguirre-in-re-izaguirre-ganb-1994.